Average Medicaid Office Visit Payments in Gadsden, AL: $56.92
Avg. Paid
$56.92
Range
$0.00 – $746.48
Total Claims
364,159
Providers
185
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Gadsden, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Brooke Lovato
829 Riverbend Dr |
$71.21 | 23,019 | 20,319 |
|
Kenneth Everette Skelton
829 Riverbend Dr |
$72.13 | 13,783 | 12,115 |
|
Gadsden Pediatric Clinic, P.A.
501 Bay St |
$71.08 | 13,474 | 10,842 |
|
Daniel Craig Lockridge
501 Bay St |
$69.49 | 13,459 | 12,923 |
|
Etowah County Health Dept Fp Clinic
109 S 8Th St |
$236.10 | 11,728 | 11,056 |
|
Janie Teresa Teschner
1016 Forrest Ave |
$77.16 | 11,631 | 8,713 |
|
Armando Jose Quizon
501 Bay St |
$71.84 | 11,558 | 11,205 |
|
Noorkarim Noorali Nagji
501 Bay St |
$73.87 | 11,556 | 11,168 |
|
Claire Grigsby Yother
501 Bay St |
$72.37 | 11,385 | 10,953 |
|
Mary Nancy Mccorkle-Mcgwier
501 Bay St |
$68.64 | 10,139 | 9,848 |
|
Angela Dawn Garrard
1007 Goodyear Ave |
$53.98 | 9,436 | 8,839 |
|
Taylor Barrett
740 Forrest Ave |
$60.63 | 8,618 | 8,428 |
|
Lauren Marie Gibson
501 Bay St |
$70.67 | 7,830 | 7,508 |
|
James Lombardo
507 S 4Th St |
$63.00 | 7,021 | 5,825 |
|
Robert E Ostendorf
1026 Goodyear Ave |
$79.16 | 6,972 | 6,347 |
|
Muhammad Tariq
1411 Piedmont Cutoff |
$0.00 | 6,283 | 5,605 |
|
Phillip Rogers
1411 Piedmont Cutoff |
$0.01 | 6,001 | 5,370 |
|
Courtney M Lowe
1405A Rainbow Dr |
$22.19 | 5,886 | 3,785 |
|
Benjamin Matthew Carr
740 Forrest Ave |
$60.01 | 5,252 | 4,600 |
|
Odeane H Connor
402 S 6Th St |
$0.00 | 5,163 | 4,238 |
|
Olajide M Akinsanya
200 S 3Rd St |
$49.95 | 5,118 | 4,803 |
|
Adam Franklin Shaw
507 S 4Th St |
$29.98 | 4,570 | 3,196 |
|
Cynthia Ellis Hill
501 Bay St |
$66.73 | 4,326 | 4,169 |
|
James Authur Mccain
1020 Tuscaloosa Ave |
$0.00 | 4,124 | 3,121 |
|
Stephen Few Blackstock
300 Medical Center Dr |
$28.99 | 4,027 | 2,793 |
|
Eddy Arnold Smith
2108 Rainbow Dr |
$56.61 | 3,833 | 3,432 |
|
Amber Lewis
829 Riverbend Dr |
$50.54 | 3,769 | 3,420 |
|
Northeast Alabama Pediatrics, P.C.
829 Riverbend Dr |
$54.52 | 3,598 | 3,116 |
|
Steven L Bayer
1907 Rainbow Dr |
$53.13 | 3,480 | 3,068 |
|
Maria A.K. Lee
510 S 4Th St |
$70.42 | 3,436 | 2,984 |
|
Christopher Gordon Kelley
507 S 4Th St |
$34.68 | 3,359 | 2,573 |
|
Smithson Onyebuchi Ahiabuike
525 S 3Rd St |
$55.02 | 3,252 | 2,821 |
|
Mark Jason Cobb
600 S 3Rd St |
$59.16 | 3,211 | 2,524 |
|
Kenny Smith
760 Chestnut St |
$37.98 | 3,203 | 3,007 |
|
Brandi Malsy
1007 Goodyear Ave |
$46.30 | 2,923 | 2,543 |
|
Mary Ellen Burgess-Parker
1401 Rainbow Dr |
$0.00 | 2,736 | 1,862 |
|
Hallie H. Mcknight
1007 Goodyear Ave |
$53.25 | 2,724 | 2,160 |
|
Catherine P. Scarbrough
1026 Goodyear Ave Ste 100 |
$8.62 | 2,703 | 2,455 |
|
Vicki Jo Wallis
829 Riverbend Dr |
$53.08 | 2,679 | 2,125 |
|
Glenn L Wilson
100 Medical Center Dr. |
$28.66 | 2,585 | 1,866 |
|
Oluwole Sunday Akisanya
311 S 4Th St |
$50.23 | 2,545 | 2,046 |
|
Christopher Kirya
410 Bay St |
$91.05 | 2,441 | 1,975 |
|
Tiffany Lauren Sweatt
501 Bay St |
$53.57 | 2,392 | 2,300 |
|
Olga L Bogdanova
820 Goodyear Ave |
$53.62 | 2,357 | 2,224 |
|
Michael D Chmielewski
230 S 4Th St |
$5.40 | 2,319 | 2,253 |
|
Daniel Owen Ryan
507 S 4Th St |
$23.74 | 2,312 | 1,673 |
|
Quality Of Life Health Services, Inc
1020 Tuscaloosa Ave |
$0.00 | 2,165 | 1,813 |
|
Diane R Teal
1026 Goodyear Ave Ste 200 |
$48.23 | 2,104 | 1,934 |
|
Jimmy Adesola Oguntuyo
431 S 5Th St |
$39.96 | 2,080 | 1,728 |
|
Carr Mental Wellness, Llc
740 Forrest Ave |
$47.26 | 2,059 | 2,021 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Gadsden, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gadsden, AL is $56.92 per claim, based on 364,159 claims from 185 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Gadsden, AL?
There are 185 Medicaid providers offering Office Visit related services in Gadsden, AL according to public payment data.
What is the price range for Office Visit in Gadsden, AL?
Medicaid reimbursement for Office Visit in Gadsden, AL ranges from $0.00 to $746.48 per claim, with an average of $56.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Gadsden, AL
Dental Cleaning & Exam
Avg $23.55
234,566 claims
Psychiatric Evaluation
Avg $64.34
114,843 claims
Blood Work & Lab Tests
Avg $7.57
113,693 claims
Emergency Room Visit
Avg $55.60
100,040 claims
Ambulance Transport
Avg $37.94
62,991 claims
Vaccines & Immunizations
Avg $19.60
56,882 claims
Urinalysis & Urine Tests
Avg $2.10
47,760 claims
X-Ray
Avg $4.24
47,471 claims